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Episiotomia de Quarto Grau com Fístula Reto-Vaginal

ID: exh4556apt-br
Descreve detalhadamente um rasgo de episiotomia de quarto grau com um reparo de terceiro grau insuficiente e subseqüente fístula reto-vaginal. Mostra a laceração de quarto grau se estendendo da abertura vaginal através dos músculos perineais e para o ânus. Mostra o reparo cirúrgico, onde a laceração é fechada com sutura enquanto a mucosa retal permanece aberta. Mostra a subseqüente fístula vaginal resultante de uma perfuração na camada de mucosa retal.

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